Organization Active NPI

Foundations Chiropractic & Wellness Inc

  • Chiropractor
  • Pleasanton, CA
National Provider Identifier
1780304410
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FOUNDATIONS CHIROPRACTIC & WELLNESS INC
Practice address
1279 Quarry LN
Pleasanton, CA 94566-8499
Phone
(925) 308-6393
NPI assigned
Sep 1, 2022
Last updated
Sep 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nicholas Conrad Recupero, DCNPI 1932828969
Title
President
Phone
(714) 380-0027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1279 Quarry LN
Pleasanton, CA 94566-8499

Mailing address

6360 Stoneridge Mall Rd Apt H201
Pleasanton, CA 94588-8058
Phone (714) 380-0027

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nrecupero@myfoundationchiro.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221214001881 CA Part B Supplier - Clinic/Group Practice 4082083084 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasanton, CA

National Provider Directory

National Provider Directory

Locations

1279 Quarry Ln
Pleasanton, CA 94566
Phone (925) 308-6393

1279 Quarry Ln
Ste B
Pleasanton, CA 94566
Phone (925) 308-6393

Interoperability endpoints

  • Direct secure messaging: nrecupero@myfoundationchiro.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1780304410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 STONERIDGE MALL RD APT H201",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888058",
            "telephone_number": "714-380-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 QUARRY LN",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945668499",
            "telephone_number": "925-308-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS CHIROPRACTIC & WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "RECUPERO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-380-0027",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nrecupero@myfoundationchiro.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA compliant business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1279 Quarry Ln",
            "city": "Pleasanton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945668499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.